Provider Demographics
NPI:1275362741
Name:CAPITAL PRIMARY CARE INC
Entity type:Organization
Organization Name:CAPITAL PRIMARY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:NNAMDI
Authorized Official - Last Name:NWANKWO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-538-0382
Mailing Address - Street 1:17 FIRSTFIELD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1756
Mailing Address - Country:US
Mailing Address - Phone:019-779-0773
Mailing Address - Fax:
Practice Address - Street 1:7525 GREENWAY CENTER DR STE 205
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3525
Practice Address - Country:US
Practice Address - Phone:301-445-0600
Practice Address - Fax:301-445-1516
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPITAL PRIMARY CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty